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PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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To become an effective and efficient professional learner, it is important to develop the habit of embedding your learning and continuing professional development (CPD) into your daily practice (in all your roles), adapting your approaches to your personal development aims and the context in which you work. In the 'Tomorrow's Doctors' (2009) the GMC stated that "It is not enough for a clinician to act as a practitioner in their own discipline. They must act as partners to their colleagues, accepting shared accountability for the service provided to their patients. They are also expected to offer leadership and to work with others to change systems when it is necessary for the benefit of patients." Physical, psychological, socioeconomic, educational, cultural and community dimensions of health are reflected in every consultation Maintain and develop your knowledge and skills in pharmacology, therapeutics and medicines management relevant to your role and prescribing practice As a GP, you are expected to understand the principles, strengths and limitations of evidence-based practice. The process of evidence-based practice was defined in the Sicily statement, 2003 1. It involves five steps:

The responsible officers have been advised to ensure additional flexibility for appraisees should deferral or adjustments be required. This hopefully means that if further COVID-19 spikes were to occur this would be taken into account with regards to our appraisal timing/preparation. Discussions with supervisors, appraisers and mentors will enable you to recognise not only your preferred learning style but also the best learning opportunities for specific needs. For instance, new NHS guidelines can be learnt through reading documents or attendance at a lecture, but the development of a new system of care within a practice may best be achieved by learning and working with your practice team. Ocr tesseract 5.1.0-1-ge935 Ocr_detected_lang en Ocr_detected_lang_conf 1.0000 Ocr_detected_script Latin Ocr_detected_script_conf 1.0000 Ocr_module_version 0.0.16 Ocr_parameters -l eng Old_pallet IA-NS-0001162 Openlibrary_edition Health beliefs, preferences, ethnic and cultural differences have an impact on the way that patients present with illness, their willingness to engage with health services, and their managementAs a clinician at the frontline of health services, you will need to understand not only how to work within systems of healthcare but also how to work with those systems for the benefit of your patients. This will require an understanding of the context, structures and processes in and by which care is delivered. This goes beyond that of your specific clinical role. Recognition of 'red flag' elements in the patient narrative which may require urgent intervention to minimise risk All GP trainees should complete a quality improvement project relating to patients in their training practice and actively contribute to the practice's significant event audit meetings. Recognising this as an opportunity for reflection as well as possible celebration of good care is a particular feature of primary care teams. Systems design principles that make it easy for healthcare workers to do the right thing or to make errors Active health promotion within the consultation, including the shift from theory to clinical skills in behaviour change; the potential tension between this role and a patient's own agenda

As a GP, you are expected to know some basic statistical terminology, including the terms listed in the table below, and be able to conduct simple calculations for evidence-based practice. Primary care teams are highly sophisticated multi-professional groups. The opportunities for you to participate in shared learning with colleagues have expanded, particularly following the extension of non-medical prescribing and extensive collaborative working on long-term conditions and integrated care. In 'Developing People - Improving Care' the National Improvement and Leadership Development Board (2016) provided a national framework for action on improvement and leadership development in NHS-funded services. It identifies 'Five Conditions' for improving care: The Balint group 1is a highly developed and tested method of small-group consultation analysis that aims specifically to focus on the emotional content, not just of single consultations but of ongoing doctor–patient relationships. Many doctors who have had the experience of Balint training attest to the lifelong benefits that it can bring in terms of interest in patients' lives, self-knowledge, job satisfaction and prevention of 'burn out'. Learning with other healthcare professionalsOur fundamental belief is to openly and freely share knowledge to help learn and develop with each other. Feel free to use the information – as long as it is not for a commercial purpose. Wherever possible, an agreement with the patient and their carers on the treatment proposed, appropriately explaining:

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